6FD-33355-10077

3 vaccinations 9 coded responses 28 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 787 / TX
Registered: 2021-03-08

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-06
Dose 1 — Moderna
2021-03-06
Dose 2 — Moderna
2021-03-08
Registered in v-safe
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Medical counselling, Reaction to previous exposure to any vaccine, Self-medication — Feeling: Fair · Site: Pain

Free text: 1sr dose Feb 6th, 1 week late red patches and pain at injection arm. 2nd dose Mar 6th informed provider if symptom and told to talk Tylenol fir chills. 12 hours late awoke with sever chills. Took a few days to fully recover from chills, no fevor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-03
Survey response — day 28, dose 2
MedDRA: Nasopharyngitis, Pre-existing disease — Feeling: Fair

Free text: I think it's allergies with cold-like symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-05
Survey response — 3 months, dose 2
MedDRA: Pain, Swelling — Feeling: Fair

Free text: Body soreness, as if I was heavy lifting at a gym. My hands feel swollen. No other symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-01
Dose 3 — Moderna
2021-11-01
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Swollen gland in underarm of the injection arm

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Continued swelling of gland under the arm of injection

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness

Free text: Swelling in glands is reducing however still present

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tiredness

Free text: Still some swelling of my glands

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Survey response — day 7, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Slight swelling in glands still

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-31
Survey response — 3 months, dose 3
MedDRA: Fatigue, Pain, Vertigo — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme fatigue, vertigo and body aches Maybe allergy season related or xhamge in thyroid medication. I have worn a mask in public and limited exposure to others. My husband does some travel by plane.

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-06	Moderna
2	2021-03-06	Moderna
3	2021-11-01	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-10

Systemic reaction (other): 1sr dose Feb 6th, 1 week late red patches and pain at injection arm. 2nd dose Mar 6th informed provider if symptom and told to talk Tylenol fir chills. 12 hours late awoke with sever chills. Took a few days to fully recover from chills, no fevor.

Release 6 — day 28, dose 2

2021-04-03

Symptoms: I think it's allergies with cold-like symptoms.

Release 8 — 3 months, dose 2

2021-06-05

Symptoms: Body soreness, as if I was heavy lifting at a gym. My hands feel swollen. No other symptoms.

Release 10 — days 1–6 daily, dose 3

2021-11-04

Systemic reaction (other): Swollen gland in underarm of the injection arm

2021-11-05

Systemic reaction (other): Continued swelling of gland under the arm of injection

2021-11-06

Systemic reaction (other): Swelling in glands is reducing however still present

2021-11-07

Systemic reaction (other): Still some swelling of my glands

Release 10 — day 7, dose 3

2021-11-08

Systemic reaction (other): Slight swelling in glands still

Release 11 — 3 months, dose 3

2022-01-31

Symptoms: Extreme fatigue, vertigo and body aches Maybe allergy season related or xhamge in thyroid medication. I have worn a mask in public and limited exposure to others. My husband does some travel by plane.

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
SD	Fatigue	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Vertigo	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Medical counselling	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	✓	✓	✓
SRO	Self-medication	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release